METHODS: We report a case of TCCF in a 58-years-old male patient who was admitted to our hospital with a sustained head injury after falling from a high platform, resulting in rapidly progressive swelling, pain, diminishing vision for more than 6 months, and blindness in his left eye for 1 month.
RESULTS: The patient underwent digital subtraction angiography and endovascular embolization. After the failure of super-selection of the left cavernous sinus, an alternative approach to obliterating the TCCF by puncturing the SOV is directly guided by Dyna-CT. After embolization, the patient\'s clinical symptoms gradually disappeared and discharged from the hospital 5 days later. No recurrence or complications occurred during follow-up for 1 year.
CONCLUSIONS: This case illustrates that direct puncture of the SOV guided by Dyna-CT as an alternative approach to embolization of TCCF is safe, effective, and feasible.
方法:我们报告一例TCCF病例,其中一名58岁的男性患者因从高平台跌落后头部持续受伤入院,导致快速进行性肿胀,疼痛,视力下降超过6个月,左眼失明一个月.
结果:患者接受了数字减影血管造影和血管内栓塞治疗。左海绵窦超选失败后,通过刺穿SOV来消除TCCF的另一种方法是由Dyna-CT直接指导。栓塞后,患者的临床症状逐渐消失,5天后出院。随访1年无复发及并发症发生。
结论:该病例说明在Dyna-CT引导下直接穿刺SOV作为TCCF栓塞的替代方法是安全的,有效,并且可行。